scholarly journals THE ROLE OF ETHNIC/RACIAL DISPARITIES IN FUNCTIONAL LIMITATIONS IN OLDER ADULTS

2016 ◽  
Vol 56 (Suppl_3) ◽  
pp. 642-642
2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 457-457
Author(s):  
María del Sequeros Chaparro ◽  
Isabel Cabrera ◽  
Carlos Vara-García ◽  
José Adrián Fernandes-Pires ◽  
Samara Barrera-Caballero ◽  
...  

Abstract Loneliness is a prevalent problem associated with negative health consequences for older adults, such as greater cognitive decline. Limitations to perform physical activities have been associated with greater loneliness in older adults. This association could be moderated by maladaptive social cognition or feelings, such as guilt associated with perceiving oneself as a burden. The objective of this study was to analyze the moderating effect of guilt associated with perceiving oneself as a burden in the relationship between limitations in physical activities and loneliness. Participants were 195 community-dwelling people 60 years or older not showing explicit cognitive or functional limitations that prevent activities of daily life, but who may present limitations in some physical activities (e.g., walking a kilometer or more). A linear regression analysis was conducted for testing the interaction between limitations in physical activities and guilt for perceiving oneself as a burden in loneliness, controlling for gender and age. The interaction between limitations in physical activities and guilt for perceiving oneself as a burden was the only significant predictor of loneliness and the model explained 18.30% of the variance. Limitations in physical activities influenced loneliness when people have high levels of guilt for perceiving oneself as a burden. This study suggests that guilt for perceiving oneself as a burden may play an important role in the association between limitations in some physical activities and loneliness.


2008 ◽  
Vol 67 (3) ◽  
pp. 231-257 ◽  
Author(s):  
Megan C. Janke ◽  
Laura L. Payne ◽  
Marieke Van Puymbroeck

The disablement process model has been used as a framework to investigate factors that accelerate or decelerate disablement among older adults. Although very little is known about the direct and moderating effects of involvement in leisure activities on the disablement process, research has suggested that participation in leisure activities may serve as a factor affecting the disablement pathways. Using longitudinal data from individuals aged 65 and older ( N = 535) in the Americans' Changing Lives study, we examined the influence of leisure involvement on the disablement process model. Through regression analyses, we found that involvement in informal and formal leisure activities was significantly associated with the disablement process in this sample of older adults, and that the effect of informal and formal leisure on disablement changed across time points and at different phases of the pathway. Results suggest that leisure activities may be protective of cognitive health and mitigate the effect of functional limitations, perceptions of disability, and depressive symptoms among older adults.


2001 ◽  
Vol 31 (8) ◽  
pp. 1361-1371 ◽  
Author(s):  
S. W. GEERLINGS ◽  
A. T. F. BEEKMAN ◽  
D. J. H. DEEG ◽  
J. W. R. TWISK ◽  
W. VAN TILBURG

Background. The temporal relationship between depression and adverse functional outcomes in older adults is ambiguous. In the present eight-wave prospective community-based study, the longitudinal effect of depression on functional limitations and disability (in terms of disability days and bed days) was studied, thereby taking into account the role of chronic physical diseases.Methods. The study is based on a sample which at the outset consisted of 325 non-depressed and 327 depressed persons (55–85 years) drawn from a larger random community based sample in the Netherlands. Generalized estimating equations time-lag models were used to examine the longitudinal relation between depression and both functional limitations and disability.Results. Functional limitations were very persistent over time, whereas disability days and bed days were more fluctuating functional outcomes. Only in the presence of chronic physical diseases, there was a significant longitudinal association between depression at the previous measurement and functional limitations, disability days and bed days at the next measurement. The effect on functional limitations was small, which was probably partly due to their persistent nature.Conclusions. The finding of a longitudinal relationship between depression and functional outcomes in older adults with a compromised health status provides a rationale for treatment of chronic physical diseases as well as depression in depressed chronically ill elderly, in order to prevent a spiralling decline in psychological and physical health.


2021 ◽  
Vol 12 ◽  
Author(s):  
Carol A. Holland ◽  
Alexis Boukouvalas ◽  
Danielle Clarkesmith ◽  
Richard Cooke

Autobiographical memory specificity has been associated with cognitive function, depression, and independence in older adults. This longitudinal study of 162 older adults moving to active supported living environments tracks changes in the role of the ability to recall specific autobiographical memory as a mediator between underlying cognitive function, or depression, and outcome perceived health or independence (e.g., Instrumental Activities of Daily Living, IADLs), across 18 months, as compared with controls not moving home. Clear improvements across time in autobiographical specificity were seen for residents but not controls, supporting the role of a socially active environment, and confirmed by correlation with number of activities reported in diaries, although the impact of diary activities on the effect of time on autobiographical specificity was not found. The role of autobiographical specificity in mediating general cognition and outcome functional limitations was clear for social limitations at 12 and 18 months, but its role in mediating effects of executive function and perceived health persisted throughout. The role of specificity in mediating between depression and perceived health, IADLs, and Functional Limitations persisted throughout. Analysis examining autobiographical specificity and depression as joint mediators between cognition and independence showed a forward effect such that higher specificity scores reduced the negative mediation effect of depression on independence. Finally, data showed the reduction of many of these mediations over time, supporting the role of autobiographical memory in times of change in a person's social situation. Data support potential autobiographical memory intervention development.


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